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KMID : 0371319930450050715
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Journal of the Korean Surgical Society
1993 Volume.45 No. 5 p.715 ~ p.723
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Aorto-Iliac Occlusion
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Bae Sung-Han
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Abstract
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Under impression that there are no comparative study between endarterectomy and bypasssurgery in aortoiliac disease in Korea, we subject 51 aortiliac occlusive disease patients who underwent operative treatment for 5 years period retrospectively.
There
are 3(59%) of type I, 16(31.4%) of type II and 32(62.7%) of type III.
Twenty seven(52%) patients had bypass surgery which included 18 cases of aortobifemoral bypass and 9 cases of aortounifemoral bypass. Eleven patients had extraanatomic bypass which were mainly femorofemoral bypass. 13 patients had endarterectomy.
There were no postoperative reocclusion in type I and II. But there were 6 out of 32 patients for type III patients who had reocclusion of graft. Four out of thirty two(12%) of type III patients had amputation of legs compared with 6% type II
none
in
type I.
Patients with both ilica occulusion had 26% of graft occlusion compare with 6^ of graft occlusion in unilateral iliac disease and had higher amputation rate(21%) in bilateral iliac disease compared with 3% of amputation rate in unilateral iliac
disease.
Bypass surgery carried only one graft occlusion out of 27 cases at 5 years after surgery. Extraantomical bypass surgery carried 2 grafts occlusion out of 11 cases during 4 years after surgery. Endarterectomy carried 4 rrecclusion out of 13 cases.
One
patients out of 27 bypass had amputation of leg. There were no amputation in extraantomic bypass and 4 amputation out of 13 patients with endarterectomy.
In conclusion, there were high occlusion rate in patients with both iliac disease and type III occlusion. Bypass operation had more high patency rate compare with endarterectomy. With this result we recommend bypass operation instead of
endarterectomy.
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KEYWORD
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